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Dr. Mukti Gunvant Prema, DDS
Pediatric Dentist in Loganville, Georgia
NPI 1306414537

Mukti Gunvant Prema is a Pediatric Dentist based in Antioch, GA and is specialized in Pediatric Dentistry. Mukti Gunvant Prema practices in Loganville, GA and has the professional credentials of DDS. The NPI Number for Mukti Gunvant Prema is 1306414537 and holds a License No. DN122875 (Georgia).

The current practice location address for Mukti Gunvant Prema is 2101 Baker Carter Dr Ste 200, Loganville, GA and can be reached out via phone at 678-661-5161.

Location: 2101 Baker Carter Dr Ste 200, Loganville, GA, 37013-4250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306414537
Provider Name
Mukti Gunvant Prema
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2101 Baker Carter Dr Ste 200, Loganville, GA, 37013-4250
Phone Number
678-661-5161
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Baker Carter Dr Ste 200
City
Loganville
State
Georgia
Zip
30052-7466
Phone Number
678-661-5161
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Baker Carter Dr Ste 200
City
Loganville
State
Georgia
Zip
30052-7466
Phone Number
678-661-5161
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN122875 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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